Individual
MR. JUSTIN LUKE CHRISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2465 EMERALD PLACE, GREENVILLE, NC 27834
(252) 758-2424
(910) 763-0291
Mailing address
2465 EMERALD PLACE, GREENVILLE, NC 27834
(910) 763-5182
(910) 763-0291
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03179
NC
363AM0700X
Medical Physician Assistant
0010-03179
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497023659
—
NC
05
—
8101466
—
NC
Enumeration date
12/02/2011
Last updated
01/25/2023
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